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- Title
Strengthening district health systems.
- Authors
Tanner, Marcel
- Abstract
It is increasingly recognized that stronger health systems are needed to deliver health care interventions at the scale necessary to achieve and sustain health-related Millennium Development Goals (MDGs), especially in Africa. This is evident in the growing willingness of two of the largest global health initiatives, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the Global Alliance for Vaccines and Immunization, to allow increasing shares of their contributions to be used for investments in health systems strengthening. The Tanzania Essential Health Interventions Project (TEHIP) explored how to use limited resources efficiently in view of forthcoming policies on sector-wide approaches (SWAps) to decentralized district funding. The TEHIP experience showed that investing in health systems works: the investment needs to be on multiple, system-wide fronts as determined by needs felt at the decentralized level, and there is no single system intervention to which health gains can be attributed.
- Subjects
AFRICA; TANZANIA; PUBLIC health; MEDICAL care; PREVENTIVE medicine; VACCINATION
- Publication
Bulletin of the World Health Organization, 2005, Vol 83, Issue 6, p403
- ISSN
0042-9686
- Publication type
Editorial